应用颅内血肿穿刺引流系统微创治疗高血压性脑出血

The Application of Minimally Invasive Puncture and Drainage of Intracranial Hematoma for Hypertensive Intracerebral Hemorrhage

目的:探讨一种新型颅内血肿穿刺引流系统治疗高血压性脑出血的价值。方法:高血压性脑出血患者30例,平均年龄55岁,血肿位于丘脑1例,基底节区23例,脑叶6例。入院时平均血肿量(42±5.2)ml,平均Glasgow昏迷量表(GCS)评分10.20分,美国国立卫生研究院卒中量表(NIHSS)评分平均31.12分。利用CT扫描进行定位,应用新型颅内血肿穿刺引流系统在局麻下经皮穿刺和引流。结果:穿刺过程中和术后无不良事件发生。术后所有病例随访6个月以上,Glasgow转归量表(GOS)评分转归良好12例,轻度残疾15例,重度残疾2例,植物状态生存l例。结论:这种新型颅内血肿穿刺引流系统可用于高血压性脑出血的治疗,且简便、安全。

Objective：To invetigate the value of a novel puncture and drainage of intracranial hematoma for the treatment of hypertensive intracerebral hemorrhage. Methods： In the group there were 30 patients with hypertensive intracerebral hemorrhage, with mean age of 55 years. Their hematomas located in thalamus（ 1 patient）, basal ganglia（23 patients）, and lobe（6 patients. The mean（SD） hematoma volume was （42 ± 5.2） ml, the mean Glasgow Coma Scale （GCS） score was 10.20, and the mean National Institutes of Health Stroke Scale （NIHSS）score was 31.12 at admission. CT scan provided hematoma location, and the percutaneous puncture, grind and drainage were performed under the local anesthesia by using a novel puncture and drainage of intracranial hematoma. Results： No adverse events occurred during the punctures and after the procedures. After procedure all the patients were followed up for more than 6 months. 12 patients had a good outcome as assessed by Glasgow Outcome Scale （GOS）scores, 15 had mild disability, 2 had serious disability, and 1 was in a permanent vegetative state. Conclusions： This novel puncture and drainage of intracranial hematoma can be used in the treatment of hypertensive intracerebral hemorrhage, and it is simple and safe.